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ImmunoCAP test for peanuts  

post #1 of 7
Thread Starter 
Has anyone had this done? How accurate is it? I am pregnant and do NOT want to get a skin test, but I feel I need to get a test done for peanut allergy as I have had what seem to be reactions in the past, beginning when I was pregnant with my ds.

Is this more accurate than a typical RAST? How do I find a doctor who does it? I am in the NW suburbs of Illinois.

I am avoiding peanuts and go to peanut allergy.com to learn about products which are safe, just in case.
post #2 of 7
Thread Starter 
anyone???
post #3 of 7
I had a less extensive Immuno cap done on my dd when she was 12 months old.
When looking into it, I thought I had to go to a special lab, but you can go to your doctor and they can send in the bloodwork (that is what I was told and my doctor was able to do this. I am assuming it will be the same in Illinois?)

Anyway, my dr. said that it is very effective in testing for allergies. I had her tested for peanut, soy, dairy, pollen....and a few more of the more common allergens.

I really do not know a lot of information about it except for what I mentioned above. Maybe someone else can provide a bit more detail about the test.

Thanks! Good Luck.
post #4 of 7
Yes, blood tests are somewhat useful, though negative blood tests do not prove a lack of allergy; in fact, many negative blood tests are false negatives. (For IgE allergies, skin tests tend to have more fewer false negatives.) However, if you're avoiding the skin test because of the reactions you've had, what you need is an epi-pen prescription more than a test of any sort. reactions are likely to get more serious not less so and nut allergies should across the board be considered life-threatening and warrant an epi-pen (NOT just Benadryl), whether or not your past reactions have been life-threatening. You cannot count on avoidance; I believe one study showed that most food-allergic people have an accidental exposure at least once every five years.

If you have documented reactions to touching or ingesting peanuts (or treenuts), you need to see a good allergist (one who treats patients with food allergies, not just patients with respitory allergies) ASAP, and you need that prescription to keep you and the baby safe.

You also need to start avoiding all nuts, not just peanuts, as virtually all nuts are likely to be processed on equipment that's cross-contaminated with peanuts.

If you can't get a referral to an allergist quickly, then ask your regular dr or OB to prescribe epis for you preventatively while you wait for your allergist appointment. You need to have at least two (in case one malfunctions or gets left in the hot car, etc) with you at all times, as well as Benadryl. But Benadryl on its own is not enough if you go into anaphylaxis.

You may also want to join the forums at kidswithfoodallergies.org; your baby will be considered at high risk for allergies and the forums there have lots of good advice on how to breastfeed an potentially allergic infant, how to manage a reduced diet due to allergies during PG, etc. The main forum membership is free; subforums and the recipe database are subscription-only but the fee is small and can be waived (subsidized memberships) if you need it.
post #5 of 7
Thread Starter 
The only problem is, I cannot use an epi pen while pregnant. It reduces blood flow to the uterus. It's not safe for either of us.

I am terrified. I do not want to eat ANY food now.

I am going to an allergist in Barrington IL next week. I hope that this blood test will show something. I have had a negative RAST last year, but then got itchy when I touched peanut butter a few months later.

Right now I am relying on food labels and other people with PA who trust certain companies. It's still very scary every time I put something "new" in my mouth.
post #6 of 7
I would absolutely check that information with the allergist. If you have a life-threatening allergic reaction, dying makes any potential epi side effect a moot point, KWIM? An anaphylactic reaction to peanuts can prevent you breathing or send you into shock. You need accurate info and guidance from a dr on what type of allergic symptoms would warrant what type of treatment.

And if you have these reactions and no epi, I would absolutely not eat any whole food you haven't prepared or at the least, not eat any prepared foods you haven't checked out thoroughly. Why eat anything at all that makes you that nervous, that you can't be sure is safe?
post #7 of 7
Thread Starter 
I understand your point, but the allergy has yet to be confirmed, and I guess for right now I refuse to live in fear of something that may or may not be there. I may be in denial somewhat, as this is a VERY new thing for me. But the reactions I have had could possibly have been in my head or caused by anxiety. I DO know that I had an itchy throat after eating peanuts while pg the first time, and that my hands itched after touching PB about a year ago. That's it. I have been just avoiding obvious peanuts since then. Now I find out that there are worries about "shared equipment" and such. It's just a lot to take in.

Not that I am eating a ton of processed food, but I have definitely relied more on convenience foods since having my son, and now being pregnant. I am exhausted and preparing some foods makes me REALLY nauseous.

My main question was about the CAP RAST test. I am hoping to have that done, and the dr. I am going to sends blood to the Mayo Clinic. He was recommended to me by other PA moms in the area.

I know you have a lot of experience with PA, but at the same time, I already have issues with extreme anxiety, and I don't think that worrying about dying is going to help that.
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